Spectrum of eye disorders in diabetes (SPEED) in India: Eye care facility based study. Report # 1. Eye disorders in people with type 2 diabetes mellitus

To document the spectrum of eye diseases in people with type 2 diabetes mellitus (T2DM) reporting to large eye care facilities in India. The selection of eye care facilities was based on the zone of the country and robustness of the programs. Only people with known T2DM certified by internist, or ta...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2020-02, Vol.68 (Suppl 1), p.S16-S20
Main Authors: Das, Taraprasad, Behera, Umesh C, Bhattacharjee, Harsha, Gilbert, Clare, Murthy, G V S, Rajalakshmi, Ramachandran, Pant, Hira B, Shukla, Rajan
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis
Comorbidity
Diabetes mellitus
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes therapy
Eye diseases
Female
Health facilities
Humans
Incidence
India - epidemiology
Male
Medical research
Middle Aged
Original
Prognosis
Type 2 diabetes
Vision Disorders - epidemiology
Vision Disorders - etiology
Visual Acuity
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Summary:To document the spectrum of eye diseases in people with type 2 diabetes mellitus (T2DM) reporting to large eye care facilities in India. The selection of eye care facilities was based on the zone of the country and robustness of the programs. Only people with known T2DM certified by internist, or taking antidiabetes medications, or referred for diabetes related eye diseases were recruited. The analysis included the demographic characteristics, systemic associations, ocular comorbidities, and visual status. People (11,182) with T2DM were recruited in 14 eye care facilities (3 in north, 2 in south central, 4 in south, 2 in west, and 3 in east zone); two were government and 12 were non-government facilities. Hypertension was the commonest systemic association (n = 5500; 49.2%). Diabetic retinopathy (n = 3611; 32.3%) and lens opacities (n = 6407; 57.3%) were the common ocular disorders. One-fifth of eyes (n = 2077; 20.4%) were pseudophakic; 547 (5.4%) eyes had glaucoma and 277 (2.5%) eyes had retinal vascular occlusion. At presentation, 4.5% (n = 502) were blind (visual acuity < 3/60 in the better eye) and 9.6% (n = 1077) had moderate to severe visual impairment (visual acuity 3/60 in the better eye). People with T2DM presenting at eye clinics in India have high rates of diabetic retinopathy and vision loss. Cataract is a very common occurrence. Advocacy, infrastructure strengthening, and human resource development are the key to address the growing threats of T2DM and eye care in India.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_33_19